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Work Activity Work Order Page 1 <br /> 5/7/2017 10:46 <br /> Issued By SRA SORGEN, ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 2/23/2017 <br /> Fund 120 Account 5 Program 840 Function 108 Activity 611 <br /> Program <br /> Title SIDEWALK REPLACEMENT 1302 RUCKER AVE <br /> Work Order No 20171239 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 5/7/2017 Time 10:42 Original WO Billing <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) Ext <br /> Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILL TO: CRYSTAL&JEFF SCOTT <br /> 1302 RUCKER AVE. <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By HCJ1 HUTCHINSON, CHAD J. Job Cost Information(Y/N) <br /> Start Date / / Time Date Completed 2/23/2017 Permit No <br />